Using a single-component surgical glue in open and laparoscopic hernioplasties

Introduction. In modern herniology, all operations are performed using mesh implants. Many factors depend on the method and reliability of fixation: the severity of pain, the number of early and late postoperative complications, the frequency of relapses, the speed of surgery and cost-effectiveness. Currently, many methods of fixing meshes have been proposed, but each of these methods has disadvantages, complications and selection criteria. We analyzed the method of fixation using a glue, and its effectiveness and feasibility of use were proven.

Purpose of the study. To analyze the technique of fixing mesh implants using a glue.

Materials and methods. The study included patients with inguinal, umbilical, postoperative ventral hernias of sizes W1-2. In the main group, fixation of the mesh implant was performed using glue. In the comparison group, fixation of the mesh was performed with separate sutures or a herniostapler.

Results. Analysis of different mesh fixation techniques has proven the effectiveness of using glue to fix mesh implants. A decrease the risk of developing intraoperative complications, a decrease in pain syndrome, and a decrease in the risk of developing chronic pain syndrome were noted. A decrease the time of surgical intervention and the economic efficiency of the adhesive fixation method were noted.

Conclusions. When using glue, a decrease in the risk of developing intraoperative complications, a decrease in pain syndrome, and a decrease in the risk of developing chronic pain syndrome, as well as a decrease the time of surgical intervention were noted. The fixation method has economic efficiency.

1. Gogia, B.Sh. New technologies in herniology. High-tech medicine, 2017, № 3, рр. 59–60. (In Russ.)

2. Krivoshchekov E.P., Grigoriev S.G., Molchanov M.A., Grigorieva T.S. Method for reducing intraoperative trauma during intraperitoneal plastic surgery of umbilical and ventral hernias. Fundamental research, 2015, № 1–5, рр. 980–983. (In Russ.)

3. Demina N.B., Chernova L.V., Kozlova Zh.M. Use of adhesive compositions in surgery. Surgery. Journal named after N.I. Pirogov, 2019, № (3), рр. 129–134. (In Russ.)

4. Parshikov V.V., Khodak V.A., Petrov V.V., Dudelzon V.A., Baburi A.B. Application of adhesive compositions in herniology. Nizhny Novgorod Medical Journal, 2012, № 2 (21), рр. 261–264. https://doi.org/10.25199/2408-9613-2014-1-2-9-15 (in Russ.)

5. Prieto-Diaz-Chavez E., Medina-Chavez J.L., Ramirez-Barba E.J. Reduction of peritoneal adhesion to polypropylene mesh with the application of fibrin glue. Acta Chir Belg, 2008, № 108 (4), рр. 433–437.

6. Martin-Cartes J.A., Morales-Conde S., Suarez-Grau J.M. et al. Role of fibrin glue in the prevention of peritoneal adhesions in ventral hernia repair. Surg Today, 2008, № 38 (2), рр. 135–140.

7. Ladurner R., Drosse I., Seitz S. et al. Tissue attachment strength and adhesion formation of intraabdominal fixed meshes with cyanoacrylat glues. Eur J Med Res., 2008, № 13 (5), рр. 185–191.

8. Karatepe O., Ozturk A., Koculu S. et al. To what extent is cyanoacrylate useful to prevent early wound infections in hernia surgery. Hernia, 2008, № 12, рр. 603–607.

9. Parshikov V.V., Samsonov A.A., Samsonov A.V. et al. Method of endoprosthesis fixation during abdominal wall plastic surgery for large ventral hernias. Nizhny Novgorod Medical Journal, 2008, № 5, рр. 61–63. https://doi.org/10.18499/2070-478X-2012-5-1-213-218 (in Russ.)

10. Petrushko S.I., Nazaryants Yu.A., Vinnik Yu.S., Kochetova L.V., Pakhomova R.A., Vasilenya E.S., Karapetyan G.E. Modern method of treatment of inguinal hernias. Modern problems of science and education, 2016, № 6. (In Russ.)